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General NPI Number Information
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NPI Number | 1386779445
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Entity Type | Organization
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Legal Business Name | GATEWAY FOUNDATION, INC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 55 E JACKSON BLVD SUITE 1500
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City | CHICAGO
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State | IL
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Zip | 60604-4466
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Country | US
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Telephone | 312-663-1130
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Fax | 312-663-0504
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Provider Business Mailing Address
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Address Line | 55 E JACKSON BLVD SUITE 1500
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City | CHICAGO
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State | IL
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Zip | 60604-4466
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Country | US
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Telephone | 312-663-1130
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Fax | 312-663-0504
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. THOMAS P BRITTON
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Credential |
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Telephone | 312-663-1130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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